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논문 기본 정보

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학술저널
저자정보
Go Yoshida (Hamamatsu University School of Medicine) Tomohiko Hasegawa (Hamamatsu University School of Medicine Hamamatsu) Yu Yamato (Hamamatsu University School of Medicine Hamamatsu) Sho Kobayashi (Hamamatsu University School of Medicine Hamamatsu) Oe Shin (Hamamatsu University School of Medicine Hamamatsu) Tomohiro Banno (Department of Orthopedic Surgery Hamamatsu Unive) Yuuki Mihara (Hamamatsu University School of Medicine Hamamatsu) Hideyuki Arima (Hamamatsu University School of Medicine Hamamatsu) Hiroki Ushirozako (Department of Orthopedic Surgery Hamamatsu Unive) Tatsuya Yasuda (Hamamatsu Medical Center) Daisuke Togawa (Hamamatsu University School of Medicine Hamamatsu) Yukihiro Matsuyama (Hamamatsu University School of Medicine Hamamatsu)
저널정보
대한척추외과학회 Asian Spine Journal Asian Spine Journal Vol.13 No.1
발행연도
2019.1
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35 - 44 (10page)

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Study Design: Retrospective study. Purpose: To calculate the minimum clinically important difference (MCID) for total and individual domains of the Oswestry Disability Index (ODI) and assess score distribution and changes over time in surgically treated adult spinal deformity (ASD) patients. Overview of Literature: Despite the common use of ODI for assessing ASD, there are no robust studies defining MCID values for this index. Methods: This study included 240 consecutive ASD patients with a minimum of 2 years of follow-up. We calculated MCID values for total and individual ODI domains using all or part of the Scoliosis Research Society-22R questionnaire as anchors. Using current MCID values, we measured the acquisition rates in patients who acquired MCID at follow-up in both total and individual ODI domains. Differences in pathology, age, and locations of the upper and lower instrumented vertebrae were analyzed. Results: MCID of the total ODI score was 11%, with an area under the curve of 0.737. Each domain ranged from 0 to 2, with 1 being the most common value. In the pain and standing domains, >60% of the patients acquired MCID, although acquisition rates of the personal care, lifting, sleep, and sexual activity domains were relatively low (20%–35%). Patients with MCID had more radiographic improvement in lumbar lordosis, sagittal vertical axis, and T1 pelvic angle than those without MCID (p <0.05). Conclusions: To our knowledge, this is the first study to describe MCID of ODI (11%) after ASD surgery. In the pain and standing domains, most patients acquired MCID although the rates of acquisition of MCID in the personal care, lifting, sleep, and sexual activity domains were low. Spine surgeons should counsel their patients regarding the benefits and setbacks of ASD surgery.
#Adult spinal deformity #Minimum clinically important difference #Oswestry Disability Index #Osteotomy #Disability

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참고문헌 (31)

참고문헌 신청
Schwab F / 2005 / Adult scoliosis : prevalence, SF-36, and nutritional parameters in an elderly volunteer population / Spine(Phila Pa 1976) 30:1082~1085 google schola Schwab FJ / 2013 / Radiographical spinopelvic parameters and disability in the setting of adult spinal deformity : a prospective multicenter analysis / Spine(Phila Pa 1976) 38:E803~E812 google schola Glassman SD / 2005 / Correlation of radiographic parameters and clinical symptoms in adult scoliosis / Spine(Phila Pa 1976) 30:682~688 google schola Li G / 2009 / Adult scoliosis in patients over sixty-five years of age : outcomes of operative versus nonoperative treatment at a minimum two-year follow-up / Spine(Phila Pa 1976) 34:2165~2170 google schola Smith JS / 2011 / Riskbenefit assessment of surgery for adult scoliosis : an analysis based on patient age / Spine(Phila Pa 1976) 36:817~824 google schola

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